One-stage operation for obstructing carcinomas of the left colon and rectum

1987 ◽  
Vol 30 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Yeong-Siang Feng ◽  
Hung Hsu ◽  
Show-Shing Chen
Keyword(s):  
Left Colon ◽  
One Stage ◽  
Colon And Rectum

Hartmann’s procedure for obstructive carcinoma of the left colon and rectum: a comparative study with one-stage surgery

2005 ◽  
Vol 7 (7) ◽  
pp. 306-313 ◽  
Author(s):  
Hipólito Durán Giménez-Rico ◽  
Carlos Abril Vega ◽  
José Herreros Rodríguez ◽  
Pilar Concejo Cútoli ◽  
Gloria Paseiro Crespo ◽  
...  
Keyword(s):  
Comparative Study ◽  
Left Colon ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
One Stage ◽  
Colon And Rectum

CANCER OF THE LEFT COLON AND RECTUM

1943 ◽  
Vol 36 (10) ◽  
pp. 685-690
Author(s):  
RAYMOND L. MURDOCH
Keyword(s):  
Left Colon ◽  
Colon And Rectum

One-stage left colon and rectal resection in emergency surgery

2014 ◽  
Vol 33 (2) ◽  
pp. 100
Author(s):  
AmrA El-Heeny ◽  
EmadEl El-Sageer
Keyword(s):  
Emergency Surgery ◽  
Rectal Resection ◽  
Left Colon ◽  
One Stage

scholarly journals A Case of Unresectable Rectal Necrosis

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammed Nassif ◽  
Ahmed Ameer ◽  
Sarkis H. Meterissian ◽  
Ari-Nareg Meguerditchian
Keyword(s):  
Exploratory Laparotomy ◽  
Distal Colon ◽  
Left Colon ◽  
Technical Feasibility ◽  
Acceptable Alternative ◽  
Colon And Rectum ◽  
Diverting Ostomy ◽  
Good Drainage ◽  
Extensive Necrosis ◽  
Mucus Fistula

Introduction. Necrosis of the rectum is an uncommon finding due to abundant collateral vasculature. Its management remains challenging, without clear consensus in the literature.Case Report. We describe a case of a 53-year-old woman with multiple medical comorbidities that presented in septic shock and hematochezia. Colonoscopy revealed ischemic colitis. Conservative management was instituted. At two weeks, she presented evidence of peritonitis. Exploratory laparotomy revealed extensive necrosis of the left colon and rectum. Due to dense inflammation, resection was deemed unsafe. Therefore, a transverse ostomy with mucosal fistula was preformed. Multiple drains were left in place. The patient healed uneventfully.Conclusion. This case illustrates that, if extensive dissection of the distal colon and rectum is unsafe due to the patient's critical condition or technical feasibility, then a diverting ostomy of the proximal viable bowel along with a mucus fistula and good drainage of the abdomen represents an acceptable alternative.

Interposition of a Jejunal Segment as an Alternative One-Stage Operation for Acute Left Colon Obstruction

Surgery Today ◽  
2002 ◽  
Vol 32 (9) ◽  
pp. 804-808 ◽  
Author(s):  
Dan D. Hershko ◽  
Bishara Bishara ◽  
James H. Paxton ◽  
Bruce W. Robb ◽  
Curtis J. Wray ◽  
...  
Keyword(s):  
Left Colon ◽  
Jejunal Segment ◽  
Colon Obstruction ◽  
One Stage

Microsatellite instability in colorectal cancer: An analysis of the National Cancer Database.

2021 ◽  
Vol 39 (3_suppl) ◽  
pp. 134-134
Author(s):  
Kamelah Abushalha ◽  
Sawsan Abulaimoun ◽  
Sarah J Aurit ◽  
Erin Jenkins ◽  
Peter T. Silberstein
Keyword(s):  
Colorectal Cancer ◽  
Regression Model ◽  
Microsatellite Instability ◽  
Mucinous Adenocarcinoma ◽  
Medullary Carcinoma ◽  
Left Colon ◽  
Right Colon ◽  
White Race ◽  
Factors Associated ◽  
Colon And Rectum

134 Background: High-frequency microsatellite instability (MSI-H) accounts for roughly 15% of all cases of colorectal cancer (CRC). Studies suggest a significant non-adherence to routine MSI testing in patients diagnosed with CRC despite universal guidelines. Methods: We used the NCDB to identify adults with MSI-H status CRC from 2010-2015 with the following histologic subtypes: mucinous and not otherwise specified adenocarcinoma, and medullary carcinoma. The primary site was localized to the right colon, left colon, and rectum; demographic factors, clinicopathologic features, and treatments were identified. Patients were stratified by site and discrete and continuous variable comparisons were made using the chi-square and Mann-Whitney test, respectively. Survival was examined with the Kaplan-Meier method and a Cox proportional hazards regression model. A logistic regression model was used to examine MSI status. All analyses were conducted with SAS version 9.4. Results: A total of 5364 patients were identified and stratified by site into 3 groups: right colon (n = 4004, 74.6%), left colon (n = 890, 16.59%) and rectum (n = 470, 8.76%). Compared to the left colon and rectum, right colon patients were more likely to be older females with larger tumors and less likely to receive chemoradiation. After adjusting for all else, we found statistical evidence that female vs. male gender (OR = 1.47; 95% CI: 1.24 to 1.73), Black vs. White race (OR = 0.61; 0.45 to 0.83), left vs. right colon (OR = 0.33, 0.27 to 0.41), rectum vs. right colon (OR = 0.08, 0.05 to 0.13), mucinous adenocarcinoma vs. adenocarcinoma (OR = 2.37, 1.92 to 2.93), medullary carcinoma vs. adenocarcinoma (OR = 8.86, 4.56 to 17.22), positive vs. negative k-RAS mutation (OR = 0.49, 0.41 to 0.59), and positive vs. negative CEA status (OR = 0.79, 0.66 to 0.94) were factors associated with MSI-H status. Improved survival was associated were Hispanic white race, stage 1, and free surgical margins within a multivariable context. Factors associated with poor survival: increased Charlson/Deyo score, advanced stage, lymphovascular invasion, and positive CEA status. Conclusions: In settings where resources are scarce and universal testing is not possible, there is a benefit from MSI testing in female patients, those with right-sided colon cancer, mucinous adenocarcinoma, and medullary carcinoma.

One-Stage Operation for Cancer of the Left Colon with Bowel Obstruction: Do We Need On-Table Wash-Out of the Colon?

2006 ◽  
Vol 22 (1) ◽  
pp. 47-51
Author(s):  
Eligijus Poskus ◽  
Valdemaras Jotautas ◽  
Paulius Zeromskas ◽  
Eugenijus Stratilatovas ◽  
Algimantas Stasinskas ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Left Colon ◽  
One Stage

New technique of anastomosis after resection of left colon and rectum

1988 ◽  
Vol 75 (9) ◽  
pp. 913-914
Author(s):  
V. I. Korepanov ◽  
R. Sh. Chuntua ◽  
S. P. Sugrobov
Keyword(s):  
Left Colon ◽  
New Technique ◽  
Colon And Rectum
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